| NPI | 1215718697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY JONES Owner 435-255-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2023-10-11 |